| Avon Dental Pllc | |
|
308a Blattner Dr Avon MN 56310-8674 | |
| (320) 356-7374 | |
| Not Available |
| Full Name | Avon Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 308a Blattner Dr, Avon, Minnesota |
| Authorized Official Name and Position | Nicolette Therese Porttiin (PRESIDENT) |
| Authorized Official Contact | 9526868444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avon Dental Pllc 24183 69th Ave Saint Augusta MN 56301-8402 Ph: (952) 686-8444 | Avon Dental Pllc 308a Blattner Dr Avon MN 56310-8674 Ph: (320) 356-7374 |
| NPI Number | 1144045840 |
|---|---|
| Provider Enumeration Date | 11/18/2024 |
| Last Update Date | 11/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144045840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Avon Dental Clinic Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 308a Blattner Drive, Avon, MN 56310 Phone: 320-356-7374 Fax: 320-356-9427 |